Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

San Antonio Regional Hospital (NPI 1780681189)

Field	Value
Entity Type	Organization
Organization	San Antonio Regional Hospital
Address	999 San Bernardino Rd
City	Upland
State	CA
ZIP	91786
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 30, 2005

Payer Source	Total Paid
Medicaid	$44.8M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

312 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	109,540	$50	$5.1M
L8699	Prosthetic implant, not otherwise specified	1,970	$2,270	$4.5M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	65,090	$60	$3.8M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	15,010	$140	$2.2M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	51,210	$30	$1.4M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	14,320	$90	$1.3M
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	108,170	$10	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	21,720	$60	$1.3M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6,750	$170	$1.2M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	68,800	$20	$1.2M

Showing 1–10 of 312

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

San Antonio Regional Hospital — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

312 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	49	450	16,140	$90	$3.6M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	315	390	1,270	$220	$1.5M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	56	1,570	680	$110	$1.1M
L8699	Prosthetic implant, not otherwise specified	4	50	220	$1,790	$996.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	322	1,300	510	$100	$943K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	370	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	219	430	1,140	$90	$769.9K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	86	230	270	$840	$717.2K
G0378	Hospital observation service, per hour	24	200	550	$310	$605.9K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	149	780	1,160	$130	$576.2K

Showing 1–10 of 312

Nearby Providers

Other providers in the same ZIP code as San Antonio Regional Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Lee	CA	Specialist	$3.5M	$0
Caleb Ng	CA	Retina Specialist (Ophthalmology) Physician	$2.2M	$21K
Thang Le	CA	Rheumatology Physician	$2.1M	$0
Pacific Eye Institute A Medical Group Inc	CA	Ambulatory Surgical Clinic/Center	$1.4M	$639.9K
Antony Hou	CA	Rheumatology Physician	$2M	$0
Samuel Kim	CA	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Susan Biegel	CA	Internal Medicine Physician	$840.5K	$139.7K
Steven Chow	CA	Dermatology Physician	$694.7K	$0
Mohamed Sebai	CA	Specialist	$673.4K	$0
Jonardi Handoko	CA	Nephrology Physician	$184.4K	$479.7K

San Antonio Regional Hospital — Billing Profile & Reimbursement Data

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San Antonio Regional Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References